KINDCARE PEDIATRIC CENTER LLC
NPI 1134175060
Pediatrics in Passaic, NJ

NPI Status: Active since May 25, 2006

Contact Information

287 MONROE ST
PASSAIC, NJ
ZIP 07055
Phone: (973) 574-8688

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  • Organization
  • Pediatrics
  • CLIA Number: 31D1031263
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-27-2026

About KINDCARE PEDIATRIC CENTER LLC

This page provides the complete NPI Profile along with additional information for Kindcare Pediatric Center Llc, a pediatrician established in Passaic, New Jersey operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1134175060 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X with license number MA077362 (NJ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Yocasta Fernandez Md (Owner)

NPI
1134175060
Provider Name
KINDCARE PEDIATRIC CENTER LLC
Entity Type
Organization
Location Address
287 MONROE ST PASSAIC, NJ 07055
Location Phone
(973) 574-8688
Mailing Address
PO BOX 667 BELLEVILLE, NJ 07109
Mailing Phone
(973) 574-8688
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2006
Last Update Date
01-04-2012
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A pediatrician like Kindcare Pediatric Center Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
MA077362
License State
NJ
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. YOCASTA FERNANDEZ MD

Authorized Official Title
OWNER
Authorized Official Phone
(973) 574-8688

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0039586MEDICAID (05)NJ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D1031263
Facility Type
Physician Office
Certificate Effective Date
September 28, 2024
Certificate Expiration Date
September 27, 2026
Laboratory Director
YOCASTA M. FERNANDEZ MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kindcare Pediatric Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KINDCARE PEDIATRIC CENTER LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134175060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21642710012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 1 + 0 + 0 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134175060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316909674DR. YOCASTA FERNANDEZ MD
Individual
Pediatrics287 MONROE ST 2ND FLOOR
PASSAIC, NJ 07055
(973) 574-8688

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134175060, enumerated in the NPI registry as an "organization" on May 25, 2006

The provider is located at 287 Monroe St Passaic, Nj 07055 and the phone number is (973) 574-8688

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 31D1031263 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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